History: 24 year old woman with bilateral fullness without pain. Also, complained of dyspareunia, disruption of menses.

Findings: Pelvic ultrasound demonstrates two large masses of ovarian origin, one in the right adnexa and another centered more midline. Both masses have large cystic components with mural papillary solid components. Flow is present most of the solid projections. These findings were reported as highly suspicious for malignancy.

History: 24 year old woman with bilateral fullness without pain. Also, complained of dyspareunia, disruption of menses.

Findings: Pelvic ultrasound demonstrates two large masses of ovarian origin, one in the right adnexa and another centered more midline. Both masses have large cystic components with mural papillary solid components. Flow is present most of the solid projections. These findings were reported as highly suspicious for malignancy.